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Old, New, Tried and True: Clinical Topics in Primary Care

7-Night Alaska Glacier Cruise
Round-trip Seattle, Washington
September 18 - 25, 2023

This conference has already sailed, but that doesn't mean you have to miss the boat! Click here to see our complete schedule of upcoming programs.

Royal Caribbean's <em>Quantum of the Seas</em>
Royal Caribbean's Quantum of the Seas

COURSE CREDITS & HOURS

14 AMA PRA Category 1 Credits™
14.0 Contact Hours

COURSE FEES

$995.00 for Physicians, Psychiatrists, Pharmacists, & Attorneys
$795.00 for Physician Assistants & Nurse Practitioners
$595.00 for Nurses, Students & Others

TARGET AUDIENCE

Physicians, Nurse Practitioners, Nurses, Physician Assistants

PROGRAM PURPOSE

EDUCATIONAL OBJECTIVES

  1. Common infectious diseases seen in primary care practice and their recommended treatments; includes STIs and COVID
    Upon completion, participants should be able to:
    • Identify the typical infectious diseases seen in a primary care setting
    • Order the use of diagnostic testing as indicated
    • Select the appropriate antibiotic regimens
  2. ACIP 2023 recommendations for pediatric and adult immunizations
    Upon completion, participants should be able to:
    • Identify the appropriate vaccine schedules for children and adults
    • Recognize patients requiring variations from the usual immunization schedule (e.g., immunocompromised state or delay in previous vaccinations)
  3. Review of common musculoskeletal (MSK) conditions seen in primary care practice, including orthopedic diagnoses and rheumatologic illnesses
    Upon completion, participants should be able to:
    • Identify the diagnostic criteria for select MSK diagnoses seen in a primary care environment;
    • Create an appropriate management plan for conditions within the scope of primary care practice;
    • For more complex conditions requiring specialty care, plan co-management with colleagues in Orthopedics, Rheumatology, Physical Medicine & Rehabilitation, and Physical Therapy
  4. Photo-review of common skin conditions seen in infants, children, and adults
    Upon completion, participants should be able to:
    • Identify typical skin conditions for which pediatric and adult patients seek care in a primary care practice;
    • Articulate appropriate therapeutic regimens for common dermatoses;
    • Distinguish dermatologic findings characteristic of systemic illness.
  5. Improving imaging in primary care practice through the use of the ACR Appropriateness Criteria
    Upon completion, participants should be able to:
    • Identify the appropriate imaging study sequence for patients with common clinical presentations seen typically in primary care practice (e.g., hematuria, cough, abdominal pain, headache).
  6. Review of common mental health issues seen in a primary care setting and their recommended treatments
    Upon completion, participants should be able to:
    • Describe common behavioral conditions and psychiatric illnesses seen in primary care practice;
    • Identify common psychotropic medications and counseling techniques used therapeutically;
    • Recognize which patients require co-management with a mental health clinician.
  7. Update on the United States Preventive Services Task Force (USPSTF): its mandate, how it functions, and its relation to clinical practice
    Upon completion, participants should be able to:
    • Define the overall mission of the USPSTF;
    • Demonstrate how to utilize USPSTF guidelines in clinical practice.
  8. Pharmacology update for primary care practitioners, with emphasis on new and emerging drug classes
    Upon completion, participants should be able to:
    • Identify new drug classes currently FDA-approved and clinically available for pharmacotherapy;
    • Recognize potential side effect profiles and drug-drug interactions between these novel medications and older pharmaceuticals used by patients.
  9. Addressing population health, wellness, and social determinants of health in primary care practice
    Upon completion, participants should be able to:
    • Identify commonly recognized social determinants of health;
    • Illustrate the connections between population health and traditional public health;
    • Demonstrate how clinicians can incorporate wellness into primary care practice.
  10. Common medical and surgical illnesses seen in pregnant patients
    Upon completion, participants should be able to:
    • Formulate a management plan for pregnant and post-partum patients with acute infectious diseases, cardiac symptoms suggestive of cardiomyopathy, new or chronic dyspnea, and fever;
    • Identify common surgical conditions seen in pregnant patients and their management.
  11. Pediatric care and office GYN scope-of-practice in primary care
    Upon completion, participants should be able to:
    • Distinguish areas of pediatric management (e.g., well-child care, school health, adolescent health) which are an appropriate part of primary care practice;
    • Demonstrate knowledge of the immunization schedule for children;
    • Recognize areas of women’s health care pertinent to the office GYN component of primary care, including reproductive health, cancer screening (cervical and breast), and identifying domestic violence;
    • Demonstrate knowledge of current CDC guidelines for STI diagnosis and treatment.
  12. Case studies in primary care practice, including pre-hospital care of office emergencies
    Upon completion, participants should be able to:
    • Identify challenging diagnostic and treatment issues encountered in clinical practice, including common pitfalls in diagnostic reasoning;
    • Determine a differential diagnosis in a series of unknown cases;
    • Indicate typical emergent situations seen in an ambulatory setting and their expected clinical management.


Disclosure Statement

The faculty and planners have no relevant financial relationship with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing health care products used by or on patients.

Program

September 19
  9:00 - 11:00am Common Infectious Diseases Seen in Primary Care Practice and their Recommended Treatments; includes STIs and COVID
  11:00 - 11:15am Break
  11:15am - 1:15am Review of Common Musculoskeletal (MSK) Conditions Seen in Primary Care Practice, including Orthopedic Diagnoses and Rheumatologic Illnesses

September 23
9:00 - 10:00am ACIP 2023 Recommendations for Pediatric and Adult Immunizations
  10:00 - 11:00am Photo-Review of Common Skin Conditions Seen in Infants, Children, and Adults
  11:00 - 11:15am Break
  11:15am - 12:15pm Improving Imaging Ordering in Primary Care Practice Through the Use of the ACR Appropriateness Criteria
  12:15 - 1:15pm Lunch
  1:15 - 2:15pm Review of Common Mental Health Issues Seen in a Primary Care Setting and their Recommended Treatments
  2:15 - 3:15pm Update on the United States Preventive Services Task Force (USPSTF): Its Mandate, How it Functions, and Its Relation to Clinical Practice
  3:15 - 3:30pm Break
  3:30pm - 4:30om Pharmacology Update for Primary Care Practitioners, with Emphasis on New and Emerging Drug Classes

September 24
 
  9:00 - 10:00am Addressing Population Health, Wellness, and Social Determinants of Health in Primary Care Practice
  10:00 - 11:00am Common Medical and Surgical Illnesses Seen in Pregnant Patients
  11:00am - 11:15am Break
  11:15am - 12:15pm Pediatric Care and Office GYN Scope of Practice in Primary Care
  12:15 - 1:15pm Case Studies in Primary Care Practice, including Pre-Hospital Care of Office Emergencies

IMPORTANT INFORMATION

PLEASE NOTE: To attend the conference, participants must book their cruise through Continuing Education, Inc.. This ensures our company can provide full conference services and complimentary social amenities to all meeting participants and their guests. Note also, that participants' family and friends are welcome to book within our group to take advantage of our typically excellent cruise rates. Thank you for your cooperation.
BIAS FREE CME - No Commercial Support was provided for this CME activity.

Faculty

Louis Verardo, MD

A native of Long-Island New York, Dr. Verardo is a 1978 graduate of the University of Bologna, Italy, and a 1981 graduate of the Family Practice Residency Program at Glen Cove Hospital on Long Island. He worked for several years in solo rural practice in Rhode Island, where he participated in and published original research in Lyme disease. He taught residents affiliated with Brown University’s School of Medicine, and he created a new elective rotation in Community Medicine for that institution. In the fall of 1985, he returned to Glen Cove and worked for 11 years as Associate Director of his former program.

In 1996, he took a new position as Medical Director of the Dolan Center, in Huntington, New York, a facility for the uninsured and underinsured in that community. In 2006, he was appointed Assistant Medical Director for Ambulatory Geriatrics at the Parker Jewish Institute’s Diagnostic and Treatment Center. In 2008, he returned to private practice in the South Shore area of Long Island, where he remained until joining the full-time faculty at Stony Brook medical school in late 2009. He then engaged in clinical practice, as well as teaching medical and dental students, and until July of 2016, he had also served as an Assistant Director of Stony Brook’s Family Medicine Residency Program. Although Dr. Verardo retired from active clinical practice on November 30, 2019, he remains a member of the faculty for the medical school course called Medicine in Contemporary Society, as well as serving as a facilitator for the Transition to Clinical Care course in 2020.

Throughout his career, Dr. Verardo has maintained an active teaching presence as a community faculty for several other institutions, including Long Island University (CW Post campus), Adelphi University, Molloy College, Touro College School of Health Sciences, and the former North Shore-Long IslandJewish Health System, now known as Northwell Health.

In addition to his work in Lyme disease, he has published work in familial alcoholism and on maintaining skills in neonatal resuscitation, and he has participated in practice-based research with a variety of national groups, including the Ambulatory Sentinel Practice Network (ASPN). He is involved with the Suffolk chapter of the New York State Academy of Family Physicians (NYSAFP), serving as a county delegate, and he has reviewed program content for several organizations, including the Society of Teachers of Family Medicine (STFM), the Society of General Internal Medicine (SGIM), the American Geriatrics Society (AGS), and the Primary Care Network (PCN), a national CME program for generalist clinicians based in Springfield, Missouri .

Accreditation

The School of Medicine, State University of New York at Stony Brook, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The School of Medicine, State University of New York at Stony Brook designates this activity for a maximum of 14 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

ITINERARY

DATE PORT OF CALL ARRIVE DEPART
Mon Sep 18 Seattle, Washington - 4:00 pm
Tue Sep 19 At Sea - Cruising
Meeting 8:00AM - 12:00PM, 1:00PM - 3:00PM* 		- -
Wed Sep 20 Sitka, Alaska 12:00 pm 7:30 pm
Thu Sep 21 Icy Strait Point, Alaska 8:00 am 5:00 pm
Fri Sep 22 Endicott Arm & Dawes Glacier 6:30 am 10:30 am
Fri Sep 22 Juneau, Alaska 1:45 pm 7:00 pm
Sat Sep 23 At Sea - Cruising
Meeting 8:00AM - 12:00PM, 1:00PM - 3:00PM* 		- -
Sun Sep 24 Victoria, British Columbia
Meeting 8:00AM - 12:00PM* 		6:30 pm 10:00 pm
Mon Sep 25 Seattle, Washington 7:00 am -
*Tentative course schedule, actual class times may differ.

PORTS OF CALL

Seattle, Washington - Sailing out on a cruise from Seattle? Make sure you spend a few a days in the beautiful Emerald City. If you’re a nature lover, this jewel in the Pacific Northwest is the perfect place for you to explore ahead of your cruise vacation. Though it offers plenty of metropolitan delights — think great restaurants, bars, a ton of shopping and lots (and lots) of hip coffee shops — Seattle is a big city with a wild, great-outdoors soul. It’s surrounded by ancient forests, sprawling public parks and, of course, the misty Puget Sound, where you can slow-moving tugboats, sleek kayaks and the occasional pod of whales. Head to Discovery Park for beautiful views of the Olympic and Cascade mountain ranges or visit the Olympic Sculpture Park near Elliott Bay. And if you’re craving a drink and a tasty bite to eat, head to one of Seattle’s many rooftop bars and take advantage of those extra-long northern summer days while you sip local brews and expertly crafted cocktails.

At Sea - Cruising - Cruising

Sitka, Alaska - Sitka truly offers the best of Alaska. Its small-town appeal stems from a unique blend of Russian, Tlingit and American history. Its snow-capped peaks and volcanic Mount Edgecumbe pose among the state’s most postcard-worthy scenes. And its rare wildlife astounds, from Saint Lazaria Island’s orange-beaked puffins to Alaska Maritime Refuge’s 40 million seabirds. This is off-the-path Alaska, where you can kayak Sitka Sound alongside swimming sea otters or fly-fish for the world’s biggest halibut. Whether it’s hiking Baranof Island trails or listening to tribal stories passed down for generations, in Sitka the midnight sun never sets on adventure.

Icy Strait Point, Alaska - Icy Strait Point, unlike most Alaskan cruise destinations, is privately held by The Huna Totem Corporation - a company established as part of the 1971 Alaska Native Claims Settlement Act and owned by over a thousand Alaskan Natives. With the cruise business making up over half of the local economy, Icy Strait Point goes to great lengths to maintain its historic charm.

Endicott Arm & Dawes Glacier - One of Alaska's lesser-known gems, Endicott Arm Fjord marks the southern edge of Fords Terror Wilderness area. As you drift through its 30 -mile-long stretch, you can't help but be awed by the sorrounding granite cliffs, mountain valleys and dozens of gushing waterfalls. Drifting icebergs, deep blue waters and a spectacular tidewater glacier only add to this natural spectacle's appeal.

Juneau, Alaska - You can’t get to Juneau easily without a sprint by air or by sea. But once you arrive you’ll find majestic views and rich culture in every corner. With its snowcapped mountains, misty rainforests, massive glaciers and bounty of wildlife, Alaska’s remote state capital is the perfect place to dive into nature. Framed by Mount Juneau and Mount Roberts, the city’s picturesque downtown area offers centuries-old bars, boutique shops and historic landmarks. For a taste of the local culture, visit the historic district and the Alaska State Museum. And for outdoor thrills, you can take your pick of activities ranging from whale watching in Auke Bay Harbor to tundra trekking over Mendenhall Glacier, and even try your hand at gold panning in Last Chance Basin.

Victoria, British Columbia - Though Toronto and Vancouver are the more famous Canadian destinations, it’s high time for the sophisticated and beautiful city of Victoria, British Columbia (BC) to have its big moment. The quaint charm and English manners of Victoria will take you back in time to the days of British occupation in the 19th century. Victoria is known as “the garden city” for its lushness and its commitment to keeping the city beautiful. Head to Butchart Garden or Beacon Hill Park to enjoy nature during your time in port.

Of course, a little history lesson is another must while on a cruise to Victoria, BC. Tour the expertly maintained Craigdarroch Castle and the Parliament Buildings, or stop in the Royal BC Museum, a natural history museum dedicated to the history of human settlement in the region. There’s also the Emily Carr House, a museum dedicated to the life and works of the famous painter, Emily Carr. Victoria exudes an intellectualism where art galleries and afternoon tea await you, but so do long bicycle rides along the seafront. Stylish cafes and restaurants are modernizing the city, all while maintaining its signature look: something straight out of a postcard.

Non-Americans/Canadians, please Click Here to determine if you'll need a visa to board this cruise, which visits Canada

Royal Caribbean's Quantum of the Seas

PLEASE NOTE: To attend the conference, participants must book their cruise through Continuing Education, Inc.. This ensures our company can provide full conference services and complimentary social amenities to all meeting participants and their guests. Note also, that participants' family and friends are welcome to book within our group to take advantage of our typically excellent cruise rates. Thank you for your cooperation.

Register your interest and receive a full quote at 800-422-0711 (US/Can) or direct/int'l tel: +1-727-526-1571 or by registering online.
STATEROOM DETAILS
PRICING PER PERSON

Prices below are for the full cruise including meals and evening entertainment

Suite/Deluxe

Junior Suite with Balcony, J4 Junior Suite with Balcony (J4)
Bedroom area with two twin beds that convert to Royal King. Full bathroom with tub. Sitting area with sofa that converts to double bed. Private balcony. Stateroom: 267 sq. ft. Balcony: 81 sq. ft. 
Please Call:
800-422-0711
for Availability and Pricing.
Junior Suite with Balcony, J3 Suite/Deluxe Junior Suite with Balcony (J3)
Bedroom area with two twin beds that convert to Royal King. Full bathroom with tub. Sitting area with sofa that converts to double bed. Private balcony. Stateroom: 267 sq. ft. Balcony: 81 sq. ft.
Call
800-422-0711
for Pricing

Balcony

Oceanview with Balcony, 4D Oceanview with Balcony (4D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 177 sq ft., Balcony: 55 sq. ft. 
Please Call:
800-422-0711
for Availability and Pricing.
Oceanview with Balcony, 2D Balcony Oceanview with Balcony (2D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 177 sq ft., Balcony: 55 sq. ft.
Call
800-422-0711
for Pricing
Oceanview with Balcony, 5D Balcony Oceanview with Balcony (5D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 177 sq ft., Balcony: 55 sq. ft.
Call
800-422-0711
for Pricing
Oceanview with Balcony, 6D Balcony Oceanview with Balcony (6D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony. Stateroom: 177 sq ft., Balcony: 55 sq. ft.
Call
800-422-0711
for Pricing
Oceanview with Balcony, 8D Balcony Oceanview with Balcony (8D)
Two twin beds that convert to Royal King, sitting area with sofa, full bathroom and private balcony.

Stateroom: 177 sq ft., Balcony: 55 sq. ft.
Call
800-422-0711
for Pricing

Outside

Oceanview Stateroom, 2N Oceanview Stateroom (2N)
Two twin beds that convert to Royal King, full bathroom and sitting area with sofa. Stateroom: 182 sq. ft. 
Please Call:
800-422-0711
for Availability and Pricing.
Oceanview Stateroom, 1N Outside Oceanview Stateroom (1N)
Two twin beds that convert to Royal King, full bathroom and sitting area with sofa. Stateroom: 182 sq. ft.
Call
800-422-0711
for Pricing

Inside

Interior Stateroom, 4U Interior Stateroom (4U)
High-definition screen that spans nearly floor to ceiling, providing real-time views of the ocean and destinations. Bedroom area with two twin beds that convert to Royal King, sitting area with sofa, and full bathroom. 
Stateroom: 166 sq. ft. 
Please Call:
800-422-0711
for Availability and Pricing.
Interior Stateroom, 2U Inside Interior Stateroom (2U)
High-definition screen that spans nearly floor to ceiling, providing real-time views of the ocean and destinations. Bedroom area with two twin beds that convert to Royal King, sitting area with sofa, and full bathroom. Stateroom: 166 sq. ft.
Call
800-422-0711
for Pricing
Interior Stateroom, 3U Inside Interior Stateroom (3U)
High-definition screen that spans nearly floor to ceiling, providing real-time views of the ocean and destinations. Bedroom area with two twin beds that convert to Royal King, sitting area with sofa, and full bathroom. Stateroom: 166 sq. ft.
Call
800-422-0711
for Pricing

Because this program is sailing soon, full payment of the fare is due at time of booking.

3rd/4th in Stateroom - Please call to secure the best possible pricing

Cruise pricing is presented per person, based double occupancy of the stateroom, following industry practice. Pricing presented above is listed accordingly to allow easy comparison for the stateroom categories displayed. Our agents always provide 'total cost' pricing disclosing all particulars before you make any commitment.

PRICING SUBJECT TO CHANGE: Because this sailing is departing soon, no fares are displayed above; Call us to request a quote of current, market rate fares. Those fares, the same as offered directly by the cruise line, are subject to change at any time until held with a deposit or full payment of the fare. Market rates are capacity and revenue controlled, do fluctuate, and can be withdrawn without notice.
CANCELLATION PENALTY POLICY WILL APPLY: We recommend Travel Insurance to protect your investment from unexpected, late cancellations.
Cruise Cancellation Policy:Late Cancellation policies vary by cruise line, itinerary and length of cruise. When reserving your stateroom, please congirm the policy applicable to this cruise with one of our agents.
Course Fee Cancellation Policy: 30+ days before sailing date - 75% Refund ; 7-29 days before sailing date - 50% Refund; Less than 7 days before sailing date - No Refund
FUEL SUPPLEMENT: During periods of unusual oil price volatility, cruiselines may implement a fuel surcharge at any time prior to sailing.

Chubb Travel Protection Overview

Please note, this insurance protection is available to the residents of the United States only,
 that coverage limits are per person and that limits can vary by State.

Standard Plan Benefits Travel Basics Travel Essentials Travel Choice
Trip Cancellation 100% of Trip Costs
($100,000 maximum)		 100% of Trip Costs
($100,000 maximum)		 100% of Trip Costs
($100,000 maximum)
Trip Interruption 100% of Trip Costs
($100,000 maximum)		 150% of Trip Costs
($150,000 maximum)		 150% of Trip Costs
($150,000 maximum)
Trip Interruption - Return Air Only $500 $750 $1,000
Trip Delay $500 ($100 per day) $750 ($150 per day) $1,000 ($200 per day)
Missed Connection NA $250 $500
Baggage & Personal Effects $750 ($50 deductible) $1,000 $2,500
Baggage Delay $200 $300 $500
Accident & Sickness Medical Expense* $15,000 ($50 deductible) $25,000 $50,000
Emergency Evacuation & Repatriation of Remains $150,000 $500,000 $1,000,000
Accidental Death & Dismemberment NA $10,000 $50,000
Assistance Services Included Included Included
Additional Benefits (if purchased within 15 days of Initial Trip Payment; Day 1 is the date the Intial Trip Payment is made)
Pre-Existing Medical Condition Exclusion Waiver Included Included Included
Trip Cancellation/ Interruption due to Financial Default Included Included Included
Accident Sickness Medical Expense Excess Coverage Primary Coverage Primary Coverage
Baggage & Personal Effects Excess Coverage Excess Coverage Primary Coverage
Flight Accident $25,000 $50,000 NA
Missed Connection NA Additional $250 Included in base plan
Optional Benefits (if selected byt the Applicant and required premium is paid)
Medical Coverage Upgrade Included in base plan Included in base plan Additional $50,000
including Emergency Evacuation* Additional $150,000 Additional $500,000 Included in base plan
Car Rental Collision Coverage $35,000 ($250 Deductible) $35,000 ($250 Deductible) $35,000 ($250 Deductible)
Flight Accident Amount selected up to $500,000 Amount selected up to $500,000 NA
*Coverage, pricing and availability may vary by state
*Additional Benefits change not available for CA, CO, KS, MN, MO, MT, NH, NY, PA, TX or WA residents at this time.

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Questions?
Call us at 800.422.0711 (US & Canada)
Or +1-727-526-1571
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